Laparoscopic assisted reduction of jejuno-jejunal intussusception with resection of jejunal polyp in children: A case series

Jejunojejunal intussusceptions secondary to polyp as a lead point are extremely rare. Only a few cases have been reported in the English literature. Here, we report the case series of two such cases who presented to us as irreducible intussusceptions and were managed successfully by laparoscopic-assisted transumbilical reduction and resection. Thus laparoscopic-assisted management of this rare presentation is feasible even in smaller children

Y-type urethral duplication with posterior perineal fistula: A new variant

13 months old boy presented with constipation and straining during micturition with poor urinary stream and voiding of urine per rectum. Perineal examination revealed posterior perineal fistula. Voiding cysto-urethrogram showed bilateral vesicoureteral reflux with bladder diverticuli, normal dorsal urethra and dye going from urethra to rectum suggestive of Y type urethral duplication. Under stoma cover, he underwent excision of posterior perineal fistula with accessory ventral urethra and anorectoplasty was done. At present patient is passing urine in good stream without straining. The uniqueness of our case is the presence of Y type of urethral duplication with normal calibre dorsal urethra and presence of posterior perineal fistula. Therefore, we consider our case to be an unusual variant of Y type of urethral duplication that has not been described before.

Detubularized isolated ureterosigmoidostomy in a complicated common cloaca: A case report

Urinary incontinence in a child secondary to a severe congenital anatomical disorder or due to complication of a previous surgery can be difficult to manage. Decisions can be especially hard when a redo procedure is being considered. We present one such case where a 6 year old girl previously operated for cloaca was brought with incontinence and after much consideration of options available, underwent a modified ureterosigmoidostomy to aid in her continence. The modification used was detubularized isolated ureterosigmoidostomy, described by Atta et al in 1996

Pleomorphic adenoma of deep lobe of parotid: A rare pediatric tumor

Salivary gland neoplasms are extremely rare in children and comprise less than 1% of all pediatric neoplasms. Benign neoplasms account for 60% of these salivary tumors in children. They are most commonly vascular in origin with parotid glands being affected commonly. Pleomorphic adenoma is common in adults; it is extremely rare in pediatric age group. We report a 9 year old girl with a parotid region swelling; suspected to be a pleomorphic adenoma of the superficial lobe of parotid. However, it was arising from the deep lobe & hence was managed with an enucleation of the tumor with no evidence of recurrence after 3 years of follow up

Role of magnetic resonance urography in diagnosis of duplex renal system: Our initial experience at a tertiary care institute

Aim: To determine diagnostic value of magnetic resonance urography in cases of duplex renal system. Method: Twenty cases between five month to nine years with suspected or known duplex renal system were evaluated by ultrasound (USG), micturating cystourethrography (MCU), intravenous urography (IVU) and magnetic resonance urography (MRU). The findings of these diagnostic imaging studies were then compared with each other and against the results of final diagnosis established at surgery. Results: Duplex renal system could be identified in two of these cases on USG, was diagnosed in four in IVU and could be diagnosed in all cases with MRU. Conclusion: MRU is superior and far accurate than IVU, MCU and USG in diagnosing duplex renal system

Sacrococcygeal teratoma associated with hindgut duplication: A case report & review of literature

The index case report describes a previously unreported coexistence of sacrococcygeal teratoma and a tubular duplication of the rectum. The child presented with a large sacrococcygeal mass. He was treated with pre-operative chemotherapy to reduce the bulk of the tumor and subsequently underwent surgical resection. Exploration surprisingly revealed an additional long tubular duplication of the rectum, which did not share any lumen with the parent gut. The duplication cyst and the residual tumor were excised. The histopathology report confirmed residual mature teratoma and the duplication cyst. Relevant literature is reviewed

Neonatal jejunal polyp with jejunojejunal intussusception causing atresia: A novel cause

AbstractNeonatal intestinal obstruction is an acute emergency with varied etiology. Neonatal jejunal polyp leading to intussusception and obstruction is extremely rare. We report a male newborn, diagnosed antenatally with intestinal obstruction. He also presented with abdominal distension. On exploration there was type III jejunal atresia with a 4 cm long segment of jejunojejunal intussusception with a polyp being the lead point. Resection anastomosis was done. Histopathology report was suggestive of an inflammatory polyp

Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature

Gastrointestinal perforation in neonates with anorectal malformation (ARM) is extremely uncommon. Delayed patient presentation is an important causative factor. A 2.5-kg neonate presented 72 hours after birth with abdominal distention and absent anal opening with meconium pearls. An abdominal X-ray revealed the presence of free gas. After adequate resuscitation patient underwent surgery. Closure of the sigmoid colon perforation with a proximal diverting loop colostomy with anoplasty was done. The literature reveals only two cases of sigmoid colon perforation with low ARM. Ours is the third case, in whom repair of the perforation and correction of the ARM was managed successfully at the same time